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作者为了确定对大便隐血阳性而结肠镜检阴性的患者,作上消化道内镜检查的作用,相继调查了211例上述患者。其中男性88例,女性123例,平均年龄64岁。共分四组:无症状组117例,症状组37例,严重贫血组33例(Hb<10 g/d1),其他24例。症状包括:消化不良性腹痛、胃部灼热、恶心、呕吐、消瘦或腹泻等。上胃肠道内镜检查88例有阳性表现,包括食管炎、Barrett食管、糜烂性胃炎、十二指肠炎、空肠炎、溃疡病、食管或胃静脉曲张、≥10 mm的息肉、粘膜肿瘤或血管畸形等。而结肠憩室病、无出血肛周疾病、小于10 mm结肠息肉、萎缩
In order to determine the positive occult blood in patients with colonoscopy negative for upper gastrointestinal endoscopy, 211 patients were investigated. There were 88 males and 123 females, with an average age of 64 years. Divided into four groups: asymptomatic group 117 cases, 37 cases of symptoms, severe anemia in 33 cases (Hb <10 g / d1), the other 24 cases. Symptoms include: indigestion abdominal pain, heartburn, nausea, vomiting, weight loss or diarrhea. 88 cases of upper gastrointestinal endoscopy positive for esophagitis, Barrett’s esophagus, erosive gastritis, duodenitis, jejunitis, ulcer disease, esophageal or gastric varices, polyps ≥ 10 mm, mucosal tumors or Vascular malformations and so on. The colon diverticular disease, bleeding-free perianal disease, less than 10 mm colon polyps, atrophy